BMJ  2007;334:400-402 (24 February), doi:10.1136/bmj.39050.696192.94

Analysis

An alternative to the clinical negligence system

Richard Furniss, barrister, Sarah Ormond-Walshe, barrister

22 Old Buildings, Lincoln's Inn, London WC2A 3UP

Correspondence to: Sarahow@22ob.com

Richard Furniss and Sarah Ormond-Walshe analyse the NHS Redress Act and compare it with the current system

The first 150 words of the full text of this article appear below.

The current system for patients to obtain compensation after medical error has been much criticised. It is seen as complex, slow, and costly, both in terms of legal fees and time of clinical staff. Patients are said to be dissatisfied with the lack of explanation and apologies, and the system is believed to encourage defensiveness and secrecy in the health service.1 After publishing a consultation document in 2003 that recommended reforming the way in which allegations of clinical negligence in the NHS are handled,1 the government passed the NHS Redress Act 2006 last November. We examine its likely effects.

Claims under the new act

The act introduces a scheme for redress without recourse to the civil law. The scheme will apply to England and Wales and covers only hospital care. It makes provision for investigation, assessment of liability, and remedy for the complainant. This remedy might include an apology, explanation, or award of financial compensation . . . [Full text of this article]

Current system


Will the redress scheme improve on current system?


Explanations, apologies, and preventive action


Defensiveness and secrecy


More claims


Summary points

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